[Dabrafenib plus trametinib for advanced melanoma]
Gonzalez L, Oubiña M, Sebastián García Martí, Pichon-Riviere A, Augustovski F, Alcaraz A, Bardach A, Ciapponi A
            Record ID 32018001290
            Spanish
                        
                Original Title:
                Dabrafenib, trametinib y cobimetinib para el tratamiento del melanoma
            
                                                            
                Authors' recommendations:
                CONCLUSIONS High quality evidence shows that the use of dabrafenib plus trametinib in patients with irresecable or metastatic melanoma with BRAF V600 mutation is associated to a longer overall survival, progression-free survival and a better overall response rate when compared with dabrafenib or vemurafenib as monotherapies. No studies comparing this combination with other treatment options currently considered as first line such ipilimumab, anti-PD1 antibodies have been found, although there is evidence from indirect comparisons that suggests there would be no differences in overall survival versus nivolumab, pembrolizumab antibodies or the vemurafenib/cobimetinib combination. 
The clinical practice guidelines from the main oncology societies consider the combination among the treatment options for the mentioned population; its use as first line is preferred in case of need for a rapid clinical response based on symptoms and/or disease tumor burden. Also several public and private health sponsors consulted consider the use of both drugs in combination in patients with advanced melanoma.
            
                                    
            Details
                        
                Project Status:
                Completed
            
                                                            
                Year Published:
                2017
            
                                    
                URL for published report:
                https://www.iecs.org.ar/home-ets/
            
                                                            
                English language abstract:
                An English language summary is available
            
                                    
                Publication Type:
                Not Assigned
            
                                    
                Country:
                Argentina
            
                                                
                        MeSH Terms
            - Melanoma
- Antineoplastic Combined Chemotherapy Protocols
- Antineoplastic Agents
- Protein Kinase Inhibitors
Contact
                        
                Organisation Name:
                Institute for Clinical Effectiveness and Health Policy
            
            
                        
                Contact Address:
                Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
            
                                    
                Contact Name:
                info@iecs.org.ar
            
                                    
                Contact Email:
                info@iecs.org.ar
            
                                    
                Copyright:
                <p>Institute for Clinical Effectiveness and Health Policy (IECS)</p>
            
                    
                This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.